# EMERGENCY PHYSICIAN SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215040159
- **Authorized official:** MR. DANIEL PHILIP BREEN (DIRECTOR OF PATIENT ACCOUNTS)
- **Authorized official phone:** (207) 594-6757

## Contact information

- **Practice address:** 6 GLEN COVE DR, ROCKPORT, ME 04856-4240
- **Practice address phone:** (207) 596-8000
- **Mailing address:** 4 WHITE ST, ROCKLAND, ME 04841-2953
- **Mailing address phone:** (207) 594-6757
- **Mailing address fax:** (207) 594-6730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/22/2020